HomeMy WebLinkAbout2460 FAIRBROOK WAY - Building PermitsowNER FAIRVIEW ASSOC.
JOB ADDRESS 74fi(1 Fai rhmnlr Wav
N�. 141-711-24 LOT
PECTIONS
ER
�M PLUMBING
°. SWR. LINE I I HOUSE CON.
POUGH HEATING P
TEMPOR4RV SERV
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ROUGH wllilNG
TRENCHES I J F
FLOOR SYSTEM
PIF CONDITIONING
OR POIE
POWEA n
STEEL REINFORCE
SHEnTHING
FR�ME ANO FLASHING
LATHING — IN ^_�
PLASTER.BROWN COAT
DATE
SUBCONTRACTOR
8-16-79
RMIT N0.
HEATING, VENT., REFRIG. ANO A.C., FINAL � - �'
PWMBING, FINAL ANO GAS TEST n ,G
ELECTRIC FIN4L I .(�_ ��'�%'
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant [o Fill in Completely — Use Ink Only
BUILDING �7 � ��� y��T — _ , J )� �1A
ADOIiESS !1`- V'" IZ'ab'-��P � ��,'
OWNER OR . I n��� C���'.
TENANT 11 T
MAI LI NG
ADD RESS
TEL. 'L�
=�T� ��n-, t�S �jD1.7d �� �,nr -g
CONSTRUCTION
BRANCH
ADDRESS
ARCHITE(
ADDRESS �L`
�
CONTRACTOR
ADDRESS �
CITV
STATE ,
LI0. NO.
SIZE
OF LOT
USE OF
TEL.
TEL.
NO.
ITV �
LIC. NO.
NO. OF E
NOW ON
EXISTING BLOG. '—
Separa[e permi[s are required for
electric, plumbing and heating work:
USE OF BUILDING AND WORK TO BE PERFOR�
I hereby acknowledge Met I have reatl this application antl state
that the above intormation is correct antl agrea to comply with
all laws regulating builtling construction, and 1 shall not employ
any perwn in violation of t�e workman's compensation laws of
the State af Californ'a.
I hereby certify t at 1 p oparly license as a contractor untler
the S<ate of Cali ornia si es antl r e ions Code, �ivision 3,
Chaptar 9, and at such ic ns s a i I forca and effect, ar I
am exempi tro the pro'si ns a oi Celifo�ni Businass
and Professions otle, Oiv 'o C a e
Signatura ot
Permittee
or
Auffiorizetl Agent Date
!_�.\ r}n
� 702,1_ 4%j8%79 102.34 TL'
APPLICATION FOR STRUC'fURAL PERMIT
RECEIVEDBY PERMIT �A1�f1,j.�eD
If !
A.P. NO. �r � —
BUILDING Q
ADDRE55
UNIT OR
SPACE NO.
TR.NO. LOT .—i �
ADD
OWNER r'/i��1I��IN f--j•.5 '�f'JG�
---}� VAIUE
USE y�C_—� LII /��sQ�i� S
APPROVED
APPRO V ED SETBACKS
�
PLANNING ACTION
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THE AMOUNTSHOWN UNDER VALUATION IS FOR m
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
VALUATION PERMIT FEE $ �
N
Q m
PLAN CHECK y "�
/ �
r/�'7j�'� LL
$ �]/ C/y//�� TAX $ �
t/ �(/V V
TOTAL PAID $ /n �% �
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COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FI�R�CR�E"I'9{t:1�. PERMI'Ii 97.00 T�
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ��
REC I PERM T �Q ' ', _ ^ ;, ;,
For Applicant to Fill in Completely — Use Ink Only ���
A.P. O.
BUILDING /7 ^
OWNER OR ADDRE55 4 r�
TENANT
UNIT OR
MAILING � SPACENO.
ADDRE55
L TR.NO. LOT
CITV ��I�t �i�g Q%�,��NO�. ZIJ
CONSTRUCTION �
LENDEF �
BRANCH
ADORESS
ARCHITECT TEL.
CONTRACTOR
ADDRESS
TEL.
CITV NO.
STATE CITV
LIC. NO. LIC. NO.
SI2E NO.OF BLDGS
OF LOT NOW ON LOT
USE Of
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
I horeby ecknowlatlpa thot I hevo reatl thia applieetion anC stata
that Me above Informetlon is correct antl aprea to comply wIN
ell laws regulntlnB builtling construcNon, nnd 1 shall not amploy
any penon In vlolation ot tho workman'a compensation lawa oi
the Stete of California.
I hereby cerNfy that I am properly Iicensetl as a conttector untlar
Me State ot a ifornle Business antl Professions Code, Dlvision 3,
Chaptar 9, ntl at such lica s ere In full torca entl eftact, or I
em examp from ha provisio of the Steta of California Busineu
and Protass ons Co a Di i o , Chaptar 9.
Signatura o
Permittee
Or
Authorizatl ABant Date
NEW ADD ALTER REPAIR MOVING DEMOLI
OWNER
- VALVE
USE E
20NE TVPE GROUP
APPROVED
BV DATE
APPROVEDSETBACKS
PLANNING ACTION
APPROVED
THE AMOUNT SHOWN UNDER VALUATION IS FI
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONL
VALUATION PERMIT FEE 5 1
�(� � PLAN CHECK S
S C — TAX E �
TOTALPAID S IQi
m
� 7
'o �
m ,$
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